Consumer acceptance of patient-performed mobile teledermoscopy for the early detection of melanoma
Open accessAbstract
BACKGROUND: Mobile teledermoscopy allows consumers to send images of skin lesions to a teledermatologist for remote diagnosis. Currently, technology acceptance of mobile teledermoscopy by people at high risk of melanoma is unknown. OBJECTIVES: We aimed to determine the acceptance of mobile teledermoscopy by consumers based on perceived usefulness, ease of use, compatibility, attitude/intention, subjective norms, facilitators and trust before use. Consumer satisfaction was explored after use. METHODS: Consumers aged 50-64 years at high risk of melanoma (fair skin or previous skin cancer) were recruited from a population-based cohort study and via media announcements in Brisbane, Australia in 2013. The participants completed a 27-item questionnaire preteledermoscopy modified from a technology acceptance model. The first 49 participants with a suitable smartphone then conducted mobile teledermoscopy in their homes for early detection of melanoma and were asked to rate their satisfaction. RESULTS: The preteledermoscopy questionnaire was completed by 228 participants. Most participants (87%) agreed that mobile teledermoscopy would improve their skin self-examination performance and 91% agreed that it would be in their best interest to use mobile teledermoscopy. However, nearly half of participants (45%) were unsure about whether they had complete trust in the telediagnosis. The participants who conducted mobile teledermoscopy (n = 49) reported that the dermatoscope was easy to use (94%) and motivated them to examine their skin more often (86%). However, 18% could not take photographs in hard-to-see areas and 35% required help to submit the photograph to the teledermatologist. CONCLUSIONS: Mobile teledermoscopy consumer acceptance appears to be favourable. This new technology warrants further assessment for its utility in the early detection of melanoma or follow-up.
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Teledermatology decreases the delays in the management of melanoma lesions.
“This literature review suggests that teledermatology decreases the delays in the management of melanoma lesions [34-36,40,59], reduces the referrals to a dermatologist by avoiding unnecessary consultations [35,36,40] and limits the number of patients lost from follow-up [36,60].”
From Use of Smartphones for Early Detection of Melanoma: Systematic Review (2018) · cites this paper as [59]
The introductory passage (labelled Abstract in our copy; page unavailable) lists reduced waiting time as a general benefit of telemedicine and identifies mobile teledermoscopy as an application for melanoma diagnosis. It does not establish that teledermatology decreases delays in managing melanoma lesions specifically. The Discussion also reports a longer delay in receiving results in this study. (LLM, conf=0.85)
Experimental — accuracy not yet measuredStore-and-forward teledermatology is well-accepted by patients and caregivers.
“Store-and-forward teledermatology is well-accepted by patients and caregivers [59,69,70].”
From Use of Smartphones for Early Detection of Melanoma: Systematic Review (2018) · cites this paper as [59]
The Abstract (page unavailable) reports patient satisfaction with store-and-forward teledermatology, but says it varied widely (42–93%). The Discussion (page unavailable) likewise describes mixed preferences for it. The paper does not report caregiver acceptance, so it supports the patient portion only, with a qualification. (LLM, conf=0.85)
Experimental — accuracy not yet measured
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Self-citation
- Authors
- Horsham, C., Loescher, L. J., Whiteman, D. C., Soyer, H. P., & Janda, M.
- Affiliations
- Queensland University of Technology (AU)
- University of Arizona (US)
- QIMR Berghofer Medical Research Institute (AU)
- Translational Research Institute (AU)
- Corresponding author
- Janda, M.
- Venue
- British Journal of Dermatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2016-09-02
- Volume
- 175
- Issue
- 6
- Pages
- 1301-1310
- ISSN
- 0007-0963 (ISSN-L)
- OpenAlex
- W2313926788
- Cited by
- 67
- References
- 32
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 13 · 2022: 8 · 2021: 4 · 2020: 9 · 2019: 6 · 2018: 15 · 2017: 5 · 2016: 2
- FWCI
- 5.03
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal of Dermatology (publishedVersion)
- PubMed (publishedVersion)
- QUT ePrints (Queensland University of Technology) (submittedVersion)
- Funders
- PanPacific Skin Cancer Consortium
- Institute of Health and Biomedical Innovation collaborative
- National Health and Medical Research Council (1063061, 1073898)
- Topics
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Decision Sciences › Information Systems and Management › Technology Adoption and User Behaviour
- Keywords
- early melanoma detection, consumer acceptance, technology acceptance model, skin self-examination, dermatoscope, perceived usefulness, perceived ease of use, user satisfaction
- MeSH terms
- Ambulatory Care, Female, Humans, Male, Melanoma, Middle Aged, Skin Neoplasms, Patient Satisfaction, Telemedicine, Dermoscopy, Early Detection of Cancer
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